| NPI | 1154049856 |
|---|---|
| Other Name | MOHAWK HEALTHY LIFE CENTER DALLAS |
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUE COOLIDGE Financial Analysis Senior Manager 623-277-1170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |